Our mission is to maintain a dedicated, caring and knowledgeable team committed to providing exceptional client service and Veterinary Health Care. We strive toward this excellence through continuing education, technical advances and compassionate care for all pets entrusted to us.
You can help us reach and maintain this level of service by sharing your veterinary needs and expectations. By completing this client survey, you will be a part of our team meetings and be assured that your comments will be discussed and acted upon. Thank you for your time and effort.
(Please Note: Your privacy is 100% assured.)
Questions (Please mark all that apply)
How did you choose our hospital?
A friend or relative recommended the practice.
I drove by and saw your hospital sign.
I saw the practice in the telephone book.
I saw the practice online.
Other:
Your Telephone Experience:
My call was answered promptly.
It was easy to make an appointment.
I was placed on hold too long.
I was offered to be called back if needed.
I did not phone.
If known, please give name of person you spoke with.
Your impression of our receptionist (over the phone):
Seemed warm and cheerful.
Courteous.
Informative.
Distracted.
Unconcerned.
Answered all of my questions.
If known, please give name of person you spoke with.
Additional telephone experience comments:
Yes
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No
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Questions (Please mark all that apply)
Your impression of our receptionist (in person):
Stood and greeted me.
Aware of purpose of visit.
Seemed warm and cheerful.
Gave me undivided attention.
Seemed hospitable.
Answered all of my questions.
If known, please give the name of the receptionist.
Your impression of our reception area:
Comfortable.
Neat and clean.
Odor-free.
Child-friendly.
Pet-friendly.
Additional reception experience comments:
Your impression of our parking lot/grounds:
Clean.
I found a parking spot with ease.
Additional parking lot/grounds comments:
Your impression of our veterinary assistant:
Greeted my pet with warmth.
Was gentle with my pet.
Seemed proficient and knowledgeable.
Gave me the information I needed.
If known, please give the name of the assistant.
Your impression of the Veterinarian:
Listened to what I said and answered all my questions.
Gave clear advice about how to treat my pet.
Was professional in manner and appearance.
Comforted me and my pet.
Made me and my pet feel valued.
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Yes
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No
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Additional Veterinarian Comments:
Note: We understand that our office hours may not be convenient for everybody. However, we are committed to maintaining our high standards of veterinary care and service that we are able to provide by remaining a one-doctor-practice. While this means that we are not able to be open every day of the week, we feel that our patients benefit from having a single doctor and small staff that know them and won't allow them to slip through the cracks.
Please let us know what days and times you find most convenient for appointments.
Scheduling Questions
Have you needed to visit another clinic due to our hours?
Have we referred you to another clinic due to being overbooked?
Have you had difficulty reaching us to schedule an appointment?
Yes
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No
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Will you recommend us to others? Why or why not?
What suggestions do you have for improving the office, staff, or procedures?
Thank you for taking the time to provide us with your valuable opinion. We have enclosed a selfaddressed, stamped envelope so that you may easily return your completed survey to us.
We hope that we have served you and your pets well and will be able to continue to serve your family in the future.

If you would like us to contact you, please fill out the necessary information.
Name:
E-Mail:
Phone: